Is it pneumonia or bronchitis?
Last updated September 3, 2026.
Bronchitis: hacking cough with mucus, low or no fever, crummy but functional, usually viral, 1-3 weeks, antibiotics useless. Pneumonia: high fever and chills, breathlessness, chest pain on breathing, genuinely ill; needs a same-day exam and often antibiotics. The distinguishing tells are depth and sickness: breathlessness, chest pain with breathing, high fever, and real systemic illness point down into the lungs. The exam confirms it: crackles on listening, chest X-ray if needed. The ER list: severe breathlessness, blue lips, saturation under about 92 percent on a home pulse oximeter, confusion (a classic elderly pneumonia presentation even without fever), or cardiac-type chest pain. High-risk groups (65-plus, under 2, COPD, asthma, heart disease, smokers, immunocompromised) get evaluated sooner. For plain bronchitis: rest, fluids, humidifier, honey, acetaminophen or ibuprofen, and patience, because the cough outlives the illness and 3 lingering weeks is normal.
What to do
- Cough, low fever, functional: bronchitis; antibiotics do not help.
- High fever, breathlessness, chest pain on breathing: same-day exam.
- Blue lips, severe breathlessness, confusion: ER.
- Elderly with confusion and no fever: still suspect pneumonia.
- Lingering 3-week cough after a virus: normal tail.
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